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  • Title: Public health situation and the control of communicable diseases.
    Journal: Health Millions; 1997; 23(5-6):23-5. PubMed ID: 12293892.
    Abstract:
    Health status has improved in India since the country achieved independence. Smallpox has been eradicated, plague has remained under control, guinea-worm and yaws have almost been eradicated, and cholera epidemics and related mortality are infrequent and fewer than they used to be. Diagnostic laboratory services have developed, communication facilities have improved considerably, health services infrastructure has expanded, and manpower has been developed. However, despite this progress, India still experiences malaria epidemics even after 40 years under its high priority National Malaria Control and Eradication Program (NMEP), diarrheal diseases and acute respiratory infections are responsible for 66% of under-5 child mortality, and other epidemics and tuberculosis continue to plague the country. India's failure to form a body of public health experts competent in management, epidemiology, and disease control has prevented the application of available knowledge and technology designed to thwart the spread of communicable disease-related morbidity and mortality in the country. Epidemiological surveillance is either absent or lacking at all levels. The central components of an effective public health care system are listed, together with recommendations for communicable disease control programs.
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